Application for Direct Deposit

Application for Direct Deposit

All student refunds are made by direct deposit to a checking or savings account. If you are a student worker, please check the payroll box on this form.

Direct Deposit applications MUST be accompanied by ONE of the following back-up documents:

Voided check or Mock Check (NO DEPOSIT SLIPS)

Bank account Information Card (NOT YOUR DEBIT CARD)

Direct Deposit Authorization from your bank Letter from your bank on official letterhead

providing account and routing numbers

Please return this form in one of the following ways:

In Person: Student Accounts Office Room 340 of the Administration Building

By Mail: 2501 N. Blackwelder Oklahoma City, OK 73106 Attn: Student Accounts

BLUELINK: Upload your form AND back-up document by using the Document Upload System found on the Student Financial Services tab In your BlueLink!

EMAILED DOCUMENTS WILL NOT BE ACCEPTED!

Authorization for Direct Deposit

I hereby authorize Oklahoma City University and the Financial Institution (bank) named below to electronically deposit funds to my:

Checking Savings

Account as indicated below, any refunds from my Student and/or Payroll

Payroll (Check here if you are a student employee)

Financial Institution (Bank) Name: ________________________________________________________________ City: ____________________________________________State:__________________Zip: __________________ Nine Digit Routing/Transit Number: _______________________________________________________________ Bank Account Number: _________________________________________________________________________

This authorization will remain in effect until Oklahoma City University has received written notification from me, the student, of its termination in such time and manner as to afford Oklahoma City University a reasonable opportunity to act on it. In no event shall termination be effective with respect to entries processed prior to receipt of notice of termination.

Student Name: ___________________________________________ Last 4 of SSN: ________________________ OKCU Student ID Number (B#): __________________________________________________________________ Student Signature: _____________________________________________ Date: ________________________

Updated 12/12/18 MM

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